Individual
REBECCA ANN BOHNENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 POWERS AVE, LEWISTON, ID 83501-6149
(208) 553-3776
Mailing address
2020 POWERS AVE, LEWISTON, ID 83501-6149
(208) 553-3776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33391
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-4294531
IRS
ID
01
—
LCSW-33391
CLINICAL LICENSURE
ID
Enumeration date
08/03/2010
Last updated
03/09/2026
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